DEL RIO NURSING AND REHABILITATION CENTER

Nursing Home Inspector

301 W MARTIN ST
DEL RIO, TX 78840
Val Verde County
Phone: 830-775-2459
Provider Number: 675677
Last Inspection: 10/27/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 44
Beds Available: 16
Percent Occupancy: 73%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - Hospital district
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

51

Facility
28

County
22

TX
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

51

2017
17

2016
23

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/27/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 11/26/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 11/26/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 11/26/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4  
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4  
 
Failed To: Provide food in a way that meets a resident's needs. Pattern : Minimal 4  
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Pattern : Minimal 4  
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4  
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4  
 
Failed To: Keep all essential equipment working safely. Widespread : Minimal 5  
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3  
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4  
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4  
 

7/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 8/19/2016
 
Failed To: Put firmly secured handrails on each side of hallways. Widespread : Minimal 5 8/1/2016
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread : Minimal 5 9/2/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Potential 4 9/2/2016
 

5/22/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 6/30/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 6/30/2015
 
Failed To: Keep all essential equipment working safely. Pattern : Potential 3 6/30/2015
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 6/30/2015
 
Failed To: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern : Potential 3 6/30/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 44 65.33 75.11
Registered Nurses 0.58 0.50 0.59
Licensed Practical / Vocational Nurses 0.73 0.71 0.94
Certified Nursing Assistants 2.11 2.31 2.20
Total Staff Hours 3.42 3.51 3.73

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
of high risk long-stay residents with pressure ulcers 12 8 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 69 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 74 92
of long-stay residents experiencing one or more falls with major injury 2 1 3
of long-stay residents who have depressive symptoms 0 0 3
of long-stay residents who lose too much weight 1 2 5
of long-stay residents who received an antianxiety or hypnotic medication 13 18 26
of long-stay residents who received an antipsychotic medication 9 8 17
of long-stay residents who self-report moderate to severe pain 0 0 5
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 24 21 20
of long-stay residents whose need for help with daily activities has increased 16 21 18
of long-stay residents with a catheter inserted and left in their bladder 6 2 2
of long-stay residents with a urinary tract infection 1 1 3
of low risk long-stay residents who lose control of their bowels or bladder 80 53 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 66 77
of short-stay residents who had an outpatient emergency department visit 14 15 13
of short-stay residents who made improvements in function 62 67 59
of short-stay residents who newly received an antipsychotic medication 2 1 2
of short-stay residents who self-report moderate to severe pain 9 7 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81 59 74
of short-stay residents who were rehospitalized after a nursing home admission 21 17 23
of short-stay residents who were successfully discharged to the community 39 46 46
of short-stay residents with pressure ulcers that are new or worsened 1 0 0